You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
DDD-2090A | Program Integrity Requirements Verification | 03/01/2021 |
ESA-1338A | Language Line Translation Services Utilized | 03/01/2021 |
DDD-2093A | DDD Behavioral Health Advocate Referral | 03/01/2021 |
DDD-2092A | DDD Behavioral Health Advocacy Plan | 03/01/2021 |
DDD-2092A-S | Plan de Defensa de la Salud Conductual de la DDD | 03/01/2021 |
LCR-1087A | Child Developmental Certified Home Application Cover Page | 02/01/2021 |
RSA-1298A | Referral Form (English) | 02/01/2021 |
RSA-1298A-S | Referral Form (Spanish) | 02/01/2021 |
DDD-2087A | Documentation Guidelines: Occupational, Physical, and Speech-Language Pathology Therapy Services | 02/01/2021 |
RSA-1298A-LP | Referral Form - Large Print (English) | 02/01/2021 |
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